Summerhill Elderliving: Medication Error, Fall - GA
The recipient was a stroke survivor with multiple complex medical conditions including hemiplegia, aphasia, dysphagia, and major depressive disorder....
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The recipient was a stroke survivor with multiple complex medical conditions including hemiplegia, aphasia, dysphagia, and major depressive disorder....
The immediate jeopardy designation indicates conditions that pose an immediate threat to resident health and safety....
During the 4:55 AM medication administration, the nurse wore only disposable gloves but failed to don the required protective gown....
This reading, documented at 4:16 PM by medication aide MA C, represents a hypertensive crisis level that requires immediate medical attention....
The incident occurred on March 4, 2025, when the resident exited the facility at 5:09 AM through the front door....
Internal facility audits confirmed these missed treatments, yet administrators remained unaware of the widespread service gaps....
A mental health worker attempted to de-escalate the situation, but the resident pushed the staff member....
The inspection revealed that staff failed to establish adequate preventative measures for a resident identified as R78 who had developed a pressure ulcer....
CNA 1 elevated the resident's bed to approximately three feet off the ground to provide incontinence care....
One resident with a urinary catheter had the drainage tubing dragging on the floor while using a wheelchair....
The privacy curtain was only partially drawn, allowing other residents and visitors walking through the hallway to see the exposed patient....
## Critical Kitchen Equipment Out of Service The inspection revealed that essential food preparation equipment was either malfunctioning or in poor condition....
## Critical Seizure Event Details On the day of the seizure, a nursing alert documented the frightening medical emergency....
The identical documentation pattern represents a serious breach of medical record integrity....
Documentation showed residents going 10-12 hours without proper monitoring, creating serious health risks....
Facilities must establish written policies and procedures for medication administration and ensure all staff members follow these protocols consistently....
The resident was reportedly screaming and crying throughout the incident....
BRADENTON, FL - Bradenton Health Care has submitted a plan of correction following a federal inspection that identified deficient practices at the facility....
Federal regulations require nursing homes to ensure each resident has the right to be free from verbal, mental, physical, and sexual abuse....
After missing 14 doses, staff transferred the resident to the emergency department at 2:00 AM on May 12th for treatment of acute pain....